BRUCE ANDERSON

PORTAGE PHYSICIAN PRACTICES INC

Dr BRUCE ANDERSON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2014.

Contact

PORTAGE PHYSICIAN PRACTICES INC

56720 CALUMET AVE
CALUMET
MI
499131967

Tel: 9064818952

BRUCE ANDERSON Information

Npi 1386049211
Pac Id 5698099083
Professional Enrollment Id I20150113000063
Last Name ANDERSON
First Name BRUCE
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PORTAGE PHYSICIAN PRACTICES INC
Group Practice Pac Id 6103053509
Number Of Group Practice Members 30
Line 1 Street Address 56720 CALUMET AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CALUMET
State MI
Zip Code 499131967
Phone Number 9064818952
Hospital Affiliation Ccn 1 230108
Hospital Affiliation Lbn 1 UP HEALTH SYSTEM PORTAGE
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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